Job Title

JOB SUMMARY: Responsible for the medical care of children from infancy to adolescence, The pediatrician provides general medicine, growth and development monitoring, and immunization tracking and administering; ease children with chronic conditions and offer support and advice to parents about children's health, safety nutrition, and fitness needs. DUTIES AND RESPONSIBILITIES: Diagnosing and treating illnesses, medical conditions, and injuries. Ordering, performing, and interpreting diagnostic tests. Collecting, recording, and maintaining patients' information and histories. Prescribing and administering treatments, therapies, medications, vaccinations, and other specialized medical care. Explaining procedures and discussing test results or prescribed treatments with patients and family members. Monitoring patients' conditions and progress. Directing, coordinating, consulting with, and referring patients to nurses, students, assistants, specialists, therapists, and other medical staff. Advising patients, parents, and guardians on diets, activities, hygiene, and disease prevention. Conducting research and remaining up to date on current trends, discoveries, and developments in the field. Directs and coordinates medical care at the medical office. Serves as a clinical director and medical practitioner for the medical office. Provides clinical supervision for medical office staff: physicians, nurses, physician assistants, etc. Participates in administrative decision making, establishes policies, procedures and guidelines designed to ensure the provision of adequate, comprehensive care across all specialties. Develops, revises, and implements policies and procedures for patient care, infection prevention and control, quality management and patients' rights. Understands and ensures compliance with the medical offices policies and procedures for safety, infection prevention and control, hazardous materials, and waste, etc. Communicates with the medical staff regarding policies, standards, and specific patient problems. Serves as a member of the organized medical staff, attends medical staff meetings, and ensures adherence to the medical staff bylaws and rules and regulations. Participates in the development and implementation of educational programs for staff and the community. Provides recommendations to CEO regarding capital expenditures for equipment and the facility. Able to evaluate medical services provided by the medical office and makes recommendations as appropriate. Available for consultation for clinical staff. Knowledgeable of social, regulatory, political, and economic factors that relates to patient care services. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Supports and maintains a culture of safety and quality. Advises CEO concerning the adequacy and appropriateness of the medical office's scope of services for patients, its professional and support staff, and its medical equipment. Monitors and evaluates the quality and appropriateness of medical services as an integral part of the overall quality management program. Provides medical leadership for research and development activities in patient care. Articulates the medical practice's mission to the community. QUALITY IMPROVEMENT: Assists with the development and implementation of the Quality Improvement Plan of the organization. Provides an annual review of staff performance, including tracking staff hours, patient encounters, productivity, member complaints and member satisfaction surveys. Monitors the results of the Physician Satisfaction Surveys and implements corrective action when necessary. Refers appropriate cases to the Quality Management Committee for action and problem resolution. Assists the organization in obtaining accreditation status. Assists the CEO in the development and expansion of a system wide wellness program. UTILIZATION REVIEW: Develops, implements, and monitors the Utilization Review Plan. Develops practice guidelines for high volume diagnoses in conjunction with the appropriate specialists. Educates staff about utilization practices to promote high-quality, cost-effective care. Develops written policies for the resolution of utilization problems. Plans and conducts interventions with outlier physicians. Assists in the growth and development of the Case Management program. Acts as a resource for the Utilization Review Coordinators. Reviews frequent or unusual referral requests. Interfaces with health plan Medical Directors as needed on utilization issues.